Jugular trunk

Assoc Prof Craig Hacking ◉ ◈ and Dr Daniel J Bell ◉ et al.

The jugular trunks are small short paired lymphatic trunks, each one draining one side of the head and neck, forming an important terminal part of the lymphatic system ^1-3.

Gross anatomy

Location

the left and right jugular trunks are found in the root of the neck

Origin

the organs of the head and neck (e.g. thyroid, salivary glands, etc.) drain into local nodes, which eventually drain into the deep cervical nodes
the efferent lymphatics of the superior deep cervical nodes pass either into the inferior deep cervical nodes, or bypass them to form the nascent jugular trunk which then also drains the efferent lymphatics from the inferior nodal group
the trunks run parallel to the inferior internal jugular vein

Termination

the left jugular trunk terminates in the thoracic duct
the right jugular trunk terminates either:
- in the junction between the subclavian and brachiocephalic veins (so-called right venous angle), or
- in the right lymphatic duct

Variant anatomy

The jugular trunks, like other parts of the lymphatic system show a wide spectrum of anatomic variance, and may also drain directly into the central major veins instead of the lymphatic ducts, including the brachiocephalic, subclavian and internal jugular veins (often at the venous angle).

References

Anatomy: Head and neck

Anatomy: Head and neck

skeleton of the head and neck
muscles of the head and neck
- muscles of the tongue (mnemonic)
  - extrinsic muscles of the tongue
  - intrinsic muscles of the tongue
- muscles of mastication
- muscles of facial expression
  - occipitalis muscle
  - circumorbital and palpebral muscles
  - nasal muscles
  - buccolabial muscles
    - elevators, retractors and evertors of the upper lip
      - levator labii superioris alaeque nasalis muscle
      - levator labii superioris muscle
      - zygomaticus major muscle
      - zygomaticus minor muscle
      - malaris muscle
      - levator anguli oris muscle
      - risorius muscle
    - depressors, retractors and evertors of the lower lip
      - depressor labii inferioris muscle
      - depressor anguli oris muscle
      - mentalis muscle
    - compound sphincter
      - orbicularis oris muscle
      - incisivus superior muscle
      - incisivus inferior muscle
    - muscle of mastication:
      - buccinator muscle
- muscles of the middle ear
  - stapedius muscle
  - tensor tympani muscle
- orbital muscles
  - extraocular muscles
  - levator palpebrae superioris muscle
    - superior tarsal muscle
- muscles of the soft palate
- pharyngeal muscles
- suprahyoid muscles
- infrahyoid muscles
- intrinsic muscles of the larynx
- muscles of the neck
- accessory muscles of the neck
  - levator glandulae thyroideae muscle
deep cervical fascia
deep spaces of the neck
surgical triangles of the neck
- anterior triangle
- posterior triangle
  - occipital triangle
    - suboccipital triangle
  - supraclavicular triangle
orbit
ear
paranasal sinuses
nose
oral cavity
pharynx
larynx
viscera of the neck
blood supply of the head and neck
- arterial supply
  - common carotid artery
- venous drainage
innervation of the head and neck
- cranial nerves
  - olfactory nerve (CN I)
  - optic nerve (CN II)
  - oculomotor nerve (CN III)
  - trochlear nerve (CN IV)
  - trigeminal nerve (CN V) (mnemonic)
    - trigeminal ganglion
    - ophthalmic division
      - tentorial nerve
      - frontal nerve
        
        supra-orbital nerve
        
        supratrochlear nerve
      - lacrimal nerve
      - nasociliary nerve
        
        small communicating branch to the ciliary ganglion
        
        short ciliary nerves
        
        long ciliary nerves
        
        infratrochlear nerve
        
        posterior ethmoidal nerve
        
        anterior ethmoidal nerve
    - maxillary division
    - mandibular division
  - abducens nerve (CN VI)
  - facial nerve (CN VII)
    - chorda tympani
    - nerve to stapedius
  - vestibulocochlear nerve (CN VIII)
    - vestibular ganglion (Scarpa's ganglion)
  - glossopharyngeal nerve (CN IX)
    - Jacobson nerve
  - vagus nerve (CN X)
    - superior laryngeal nerve
      - external laryngeal nerve
      - internal laryngeal nerve
    - recurrent laryngeal nerve (inferior laryngeal nerve)
  - (spinal) accessory nerve (CN XI)
  - hypoglossal nerve (CN XII)
- parasympathetic ganglia of the head and neck
- greater occipital nerve
- third occipital nerve
- cervical plexus
  - muscular branches
    - longus capitis
    - longus colli
    - scalenes
    - geniohyoid
    - thyrohyoid
    - ansa cervicalis
      - omohyoid (superior and inferior bellies separately)
      - sternothyroid
      - sternohyoid
    - phrenic nerve
      - accessory phrenic nerve
    - contribution to the accessory nerve (CN XI)
  - cutaneous branches
- brachial plexus
- pharyngeal plexus
lymphatic drainage of the head and neck
embryological development of the head and neck
- branchial apparatus

Article information

rID: 74104

System: Head & Neck, Vascular

Section: Anatomy

Tag: cases, reference needed, cases

Synonyms or Alternate Spellings:

Right jugular trunk
Left jugular trunk
Jugular lymphatic trunk
Jugular lymph trunk
Jugular trunks

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Cases and figures

Figure 1: lymphatics of head and neck (Gray's illustration)Figure 1: lymphatics of head and neck (Gray's illustration)

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